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ALERT Presentation: Donation after Cardiac Death (DCD): Improving consent to donate, compliance with institutional protoco...
Background  <ul><li>Patients awaiting organ transplantation far exceed availability of healthy organs </li></ul><ul><li>Th...
PICO Question <ul><li>P opulation </li></ul><ul><ul><li>Healthcare and organ procurement providers </li></ul></ul><ul><li>...
Approach <ul><li>Survey to all INSPIRE sites to determine absence/presence of DCD, current educational approach and educat...
3 Questions <ul><li>How many INSPIRE sites have DCD protocols?  If no, what is the likelihood that they would be willing o...
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Meyer alertinspire

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Meyer alertinspire

  1. 1. ALERT Presentation: Donation after Cardiac Death (DCD): Improving consent to donate, compliance with institutional protocols and organ procurement Elaine C. Meyer, Ph.D., R.N. Kristen Nelson, M.D. Elizabeth Hunt, M.D., Ph.D.
  2. 2. Background <ul><li>Patients awaiting organ transplantation far exceed availability of healthy organs </li></ul><ul><li>The Institute of Medicine has advocated for Donation after Cardiac Death (DCD) protocols in hospitals to expand the potential donor pool </li></ul><ul><li>Staff knowledge and experience with DCD is limited and may negatively impact the implementation of protocols </li></ul><ul><li>A simulation-based educational film is available (focusing on ethics & family-staff conversations) </li></ul>
  3. 3. PICO Question <ul><li>P opulation </li></ul><ul><ul><li>Healthcare and organ procurement providers </li></ul></ul><ul><li>I ntervention </li></ul><ul><ul><li>DCD educational film </li></ul></ul><ul><li>C omparison </li></ul><ul><ul><li>Each participating site will be compared to itself pre and post educational intervention; aggregate comparison across educational conditions </li></ul></ul><ul><li>O utcome </li></ul><ul><ul><li>Knowledge, attitudes, sense of preparation, confidence, communicative ability, compliance with established DCD protocols, use & evaluation of film, frequency of family-OPO staff meetings to initiate and discuss organ donation, frequency of consent to donate, frequency of organ procurement </li></ul></ul>
  4. 4. Approach <ul><li>Survey to all INSPIRE sites to determine absence/presence of DCD, current educational approach and educational needs </li></ul><ul><li>Among those with DCD, pre-post comparison after educational intervention with educational arms (film to hospital educators, film to OPO educators, partnership and film to hospital & OPO) </li></ul><ul><li>Among those without DCD, pre-post comparison between film and no film </li></ul><ul><li>Follow natural use, acceptability and efficacy of film as per outcome measures </li></ul>
  5. 5. 3 Questions <ul><li>How many INSPIRE sites have DCD protocols? If no, what is the likelihood that they would be willing or able to institute DCD protocols in the near future? </li></ul><ul><li>Outcomes such as frequency of family-OPO meetings, consent to donate, and organ procurement require partnership with regional OPOs. How realistic is this? </li></ul><ul><li>What aspect(s) of this proposal would be possible as part of INSPIRE simulation centers and is external funding needed? </li></ul>

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